Provider Demographics
NPI:1215237482
Name:TOBEY-DENNIS, VONDA KAY (CNA)
Entity type:Individual
Prefix:
First Name:VONDA
Middle Name:KAY
Last Name:TOBEY-DENNIS
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:708 HOLDING RIDGE CT
Mailing Address - Street 2:
Mailing Address - City:WAKE FOREST
Mailing Address - State:NC
Mailing Address - Zip Code:27587-2869
Mailing Address - Country:US
Mailing Address - Phone:919-931-9233
Mailing Address - Fax:
Practice Address - Street 1:708 HOLDING RIDGE CT
Practice Address - Street 2:
Practice Address - City:WAKE FOREST
Practice Address - State:NC
Practice Address - Zip Code:27587-2869
Practice Address - Country:US
Practice Address - Phone:919-931-9233
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-22
Last Update Date:2010-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC405934376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide